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10-10412
Zephyrhills
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2010
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10-10412
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Last modified
2/1/2011 8:29:02 AM
Creation date
2/1/2011 8:29:01 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-10412
Building Department - Name
WILKERSON,FAY J
Address
38501 12TH AVE
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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department M o f f I p <br /> Date Received Phone Contact for ' ti k�'y, t: ( 3 7 (3 G l `� <br /> Owner's Name ira""11.1.rtidalla Owner Phone Number 9f3 - / 7 7 / 3 <br /> Owner's Address <br /> `O /6 / 0 Pr /c9 /i /75 t i /// /75 Owner Phone Number <br /> Fee Simple Titleholder Name /So 3 See/9 ( Owner Phone Number <br /> Fee Simple Titleholder Address // �y <br /> JOB ADDRESS '?'3( /,� /CS 27"" (✓' c /� �' `‘, LOT # <br /> SUBDIVISION PARCEL ID# (`- 4 - 2-1 - • ( - 0 3 7 6 b " Olt b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR W ADD /ALT I I SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 I COMM I 1 OTHER I I <br /> TYPE OF CONSTRUCTION BLOCK I I FRAME I I STEEL <br /> � 1 I OTHER I /�, <br /> DESCRIPTION OF WORK �✓/v"r 6�` C L - ..,��u')C 6011t6 C / /�regt_ <br /> BUILDING SIZE //G SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I /) ELECTRICAL $ S AMP SERVICE ' J 1 PROGRESS ENERGY I I W.R.E.C. <br /> I 1 PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIA COMPANY _ / c/ 7 `"r- & C <br /> SIGNATURE _ 7 REGISTERED ' K FEE CURRENT M0 <br /> Address 2 -676 PEtr1 1 %4il7 /Zilit- f- License# _ d / ST (C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) <br /> Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />
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